CENTERVILLE CLINICS, INC. (NPI# 1932181047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932181047 |
| Entity Type | Organization |
| Organization Name | CENTERVILLE CLINICS, INC. |
| Practice Address |
1006 Main Street Republic PA 15475 |
| Mailing Address |
1070 Old National Pike Fredericktown PA 15333-2114 |
| Practice Telephone | 7242469434 |
| Practice Fax Number | 7242469846 |
| Mailing Telephone | 7246326801 |
| Mailing Fax Number | 7246326840 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2008-04-17 |
| Authorized Official Name | MRS. PATRICIA MARTOS (DIRECTOR FINANCE/PERSONNEL) |
| Authorized Official Telephone | 7246326801 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 126800000X | Dental Assistant | Dental Providers | ||
| N | 124Q00000X | Dental Hygienist | Dental Providers | ||
| Y | 122300000X | Dentist | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007288440032 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902304009 | Centerville Clinics, Inc. | Social Worker | 50 Scenic Drive, Trinity Middle School, Washington, PA 15301 | 2018-01-24 |
| 1578061784 | Centerville Clinics, Inc. | Social Worker | 225 Midland Drive, Trinity North Elelmentary School, Washington, PA 15301 | 2018-01-23 |
| 1932450509 | Centerville Clinics, Inc. | Specialist | 3214 Constitution Blvd, Claysville, PA 15323-1333 | 2012-09-24 |
| 1164600995 | Centerville Clinics, Inc. | Specialist | 179 Crawford Rd, Fredericktown, PA 15333-2011 | 2008-02-04 |
| 1154508620 | Centerville Clinics, Inc. | Community/Behavioral Health | 201 Alwine Ave, Greensburg, PA 15601-3211 | 2008-01-28 |
| 1073734281 | Centerville Clinics, Inc. | Clinic/Center | 200 Chamber Plz, Charleroi, PA 15022-1605 | 2007-05-02 |
| 1043430267 | Centerville Clinics, Inc. | Clinic/Center | 1006 Main Street, Republic, PA 15475 | 2007-04-27 |
| 1124191671 | Centerville Clinics, Inc. | Clinic/Center | 130 California Rd, Brownsville, PA 15417-9312 | 2006-11-15 |
| 1275514531 | Centerville Clinics, Inc. | Internal Medicine | 1150 7th St, Waynesburg, PA 15370-1660 | 2005-11-14 |
| 1427556646 | Centerville Clinics, Inc. | Social Worker | 231 Park Ave, Trinity High School, Washington, PA 15301 | 2018-01-23 |
| Street Address |
1006 MAIN STREET |
| City | REPUBLIC |
| State | PA |
| Zip Code | 15475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558314724 | Ingrid K Toothman | Dentist | 1006 Main Street, Republic, PA 15475 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043430267 | Centerville Clinics, Inc. | Clinic/Center | 1006 Main Street, Republic, PA 15475 | 2007-04-27 |
| 1912045949 | Jennifer Kovach | Chiropractor | 1614 New Salem Road, Republic, PA 15475 | 2007-02-02 |
| 1477809739 | Bryan A Ferro | Pharmacist | 1009 Main Street, Box 757, Republic, PA 15475 | 2012-07-24 |
| 1073678850 | Edward S. Wilcox | Durable Medical Equipment & Medical Supplies | 1009 Main St, Republic, PA 15475 | 2006-12-22 |
| 1073672507 | Edward Samuel Wilcox | Pharmacist | 1009 Main St, Republic, PA 15475 | 2006-12-08 |
| 1710161336 | Aaron Lenhart | Family Medicine | 1006 Main St., P.o. Bx 786, Republic, PA 15475-0786 | 2007-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847979 | Vyjean Young | In Home Supportive Care | 919 N Township Road 181, Republic, OH 44867-9545 | 2020-09-27 |
| 1609494814 | Amy Sue Ridenour | Nurse Practitioner | 429 N Douglas Dr, Republic, MO 65738-9525 | 2020-07-14 |
| 1013539048 | Martin Dale Hodges | Physical Therapist | 830 S Illinois Ave, Republic, MO 65738-1177 | 2020-05-13 |
| 1336780386 | Sugar Tree Counseling, LLC | Counselor | 316 Us Highway 60 W, Republic, MO 65738-1433 | 2019-10-01 |
| 1215585922 | Lawana Kay Patterson | Technician | 1702 East New Madrid, Republic, MO 65738 | 2019-08-27 |
| 1023579919 | Steven Place | Marriage & Family Therapist | 1244 Us Highway 60 E, Republic, MO 65738-1248 | 2019-03-25 |
| 1609335165 | Cara Marie Shanks | Social Worker | 2030 E Charles St, Republic, MO 65738-2653 | 2019-03-14 |
| 1366909335 | Elloren Neadel Mitchell | Registered Nurse | 3275 E Jamestown St, Republic, MO 65738-9114 | 2019-02-26 |
| 1497219059 | Samantha J Steed | Chiropractor | 530 E Hadley St, Republic, MO 65738 | 2019-01-29 |
| 1295215846 | Stephanie Cronin | Speech-Language Pathologist | 201 E State Highway 174, Republic, MO 65738-1115 | 2018-08-14 |
| Find all providers in REPUBLIC | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356601785 | Bahman Tehrani Dds LLC | Dentist | 1214 Us Highway 60 E, Republic, MO 65738-1248 | 2012-05-18 |
| 1164749396 | Republic Dental Clinic | Dentist | 194 N. Portland St., Republic, WA 99166-0978 | 2010-04-28 |
| 1942466115 | Bahman Tehrani | Dentist | 1214 Us Hwy 60 E, Republic, MO 65738-1248 | 2008-08-06 |
| 1689704918 | Kevin Edward Medlin | Dentist | 834 S Illinois Ave, Republic, MO 65738 | 2007-03-06 |
| 1801908355 | David Kent Budd | Dentist | 1093 Us Highway 60 E, Republic, MO 65738 | 2006-08-31 |
| 1558314724 | Ingrid K Toothman | Dentist | 1006 Main Street, Republic, PA 15475 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555426 | Andrew Morrison | Dentist | 1575 Highlands Dr Ste 100, Lititz, PA 17543-7507 | 2020-10-12 |
| 1497362982 | Samar Al Quraishi | Dentist | 625 E Lancaster Ave Apt C303, Wynnewood, PA 19096-2028 | 2020-09-28 |
| 1891301875 | Livewell Dentistry Pllc | Dentist | 125 Towne Centre Blvd Ste 510, Wexford, PA 15090-5619 | 2020-09-16 |
| 1396351318 | Mostafa Alwakeel | Dentist | 5450 Wissahickon Ave Apt B232, Philadelphia, PA 19144-5404 | 2020-09-16 |
| 1235743857 | Gurkirt Singh | Dentist | 833 N Bethlehem Pike, Spring House, PA 19477 | 2020-09-01 |
| 1245844927 | Puja Shah | Dentist | 602 S Bethlehem Pike Ste C2, Ambler, PA 19002-5800 | 2020-09-01 |
| 1932712759 | James Hickey | Dentist | 94 Egypt Hollow Rd, Warren, PA 16365 | 2020-08-31 |
| 1811508922 | Eleine Laffita Aguilera | Dentist | 4040 Spruce St Apt 5, Philadelphia, PA 19104-4130 | 2020-08-12 |
| 1053921932 | Priyanka Patel | Dentist | Philadelphia Dental Smiles, 9140 Academy Road, Philadelphia, PA 19114 | 2020-08-05 |
| 1578172128 | Selena Nguyen | Dentist | 4837 N Broad St, Philadelphia, PA 19141-2107 | 2020-07-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.